Designated
Health Professional Shortage Areas
Statistics

Third Quarter of Fiscal Year 2017
Designated HPSA Quarterly Summary



As of June 30, 2017



Bureau of Health Workforce
Health Resources and Services Administration (HRSA)
U.S. Department of Health & Human Services
Table 1. Health Professional Shortage Areas: Number, Population, and Additional Practitioners
Needed for Geographic Areas, Population Groups, and Facilities as of June 30, 2017
 
           
Practitioners
Needed to
 
 
Number of
 
Population of
 
Percent of
 
Remove
 
   
Designations
(1)
 
Designated HPSAs
(2)
 
Need Met
(3)
  
Designations
  
Primary Medical HPSA Totals
6,708
  
67,510,391
   
54.47 %
(4)
  
10,201
(7)
 
Geographic Area
1,380
  
31,981,318
   
64.11 %
   
3,529
  
Population Group
1,521
  
34,285,230
   
48.52 %
   
5,849
  
Facility
3,807
  
1,243,843
   
32.24 %
   
823
  
Dental HPSA Totals
5,568
  
52,210,740
   
37.89 %
(5)
  
8,312
(8)
 
Geographic Area
687
  
14,626,848
   
57.05 %
   
1,442
  
Population Group
1,621
  
35,905,297
   
32.00 %
   
6,056
  
Facility
3,260
  
1,678,595
   
26.80 %
   
814
  
Mental Health HPSA Totals
4,701
  
106,333,967
   
43.39 %
(6)
  
3,474
(9)
 
Geographic Area
1,013
  
83,559,541
   
52.56 %
   
1,783
  
Population Group
265
  
20,586,703
   
39.92 %
   
560
  
Facility
3,423
  
2,187,723
   
21.22 %
   
1,131
  
HRSA Data Warehouse
1 of 7
August 22, 2017
Data as of:
07/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 2. Health Professional Shortage Areas: Rural/Non-Rural Classification as of June 30, 2017
 
           
Practitioners
 
     
Percentage
 
Population
 
Needed to
 
   
Number of
of All
 
of Designated
 
Remove
 
   
Designations
(1)
Designations
(10)
HPSAs
 
Designations
 
Primary Medical HPSA Totals
 
6,708
    
67,510,391
   
10,201
  
Rural
 
3,987
 
59.44 %
  
20,831,460
   
2,979
  
Geographic Area
 
880
 
13.12 %
  
12,169,741
   
1,359
  
Population Group
 
860
 
12.82 %
  
8,064,783
   
1,243
  
Facility
 
2,247
 
33.50 %
  
596,936
   
377
  
Non-Rural
 
2,258
 
33.66 %
  
32,030,194
   
5,186
  
Geographic Area
 
267
 
3.98 %
  
12,691,935
   
1,431
  
Population Group
 
438
 
6.53 %
  
18,691,352
   
3,309
  
Facility
 
1,553
 
23.15 %
  
646,907
   
446
  
Partially Rural (11)
 
447
 
6.66 %
  
14,484,250
   
2,000
  
Geographic Area
 
230
 
3.43 %
  
7,072,634
   
729
  
Population Group
 
217
 
3.23 %
  
7,411,616
   
1,271
  
Unknown (12)
 
16
 
0.24 %
  
164,487
   
36
  
Geographic Area
 
3
 
0.04 %
  
47,008
   
10
  
Population Group
 
6
 
0.09 %
  
117,479
   
26
  
Facility
 
7
 
0.10 %
         
Dental HPSA Totals
 
5,568
    
52,210,740
   
8,312
  
Rural
 
3,282
 
58.94 %
  
17,722,035
   
2,750
  
Geographic Area
 
503
 
9.03 %
  
7,054,788
   
705
  
Population Group
 
959
 
17.22 %
  
9,849,487
   
1,665
  
Facility
 
1,820
 
32.69 %
  
817,760
   
380
  
Non-Rural
 
1,939
 
34.82 %
  
22,956,437
   
3,858
  
Geographic Area
 
93
 
1.67 %
  
4,705,922
   
501
  
Population Group
 
413
 
7.42 %
  
17,392,244
   
2,924
  
Facility
 
1,433
 
25.74 %
  
858,271
   
433
  
Partially Rural
 
334
 
6.00 %
  
11,399,091
   
1,689
  
Geographic Area
 
88
 
1.58 %
  
2,811,528
   
232
  
Population Group
 
246
 
4.42 %
  
8,587,563
   
1,457
  
Unknown
 
13
 
0.23 %
  
133,177
   
15
  
Geographic Area
 
3
 
0.05 %
  
54,610
   
4
  
Population Group
 
3
 
0.05 %
  
76,003
   
10
  
Facility
 
7
 
0.13 %
  
2,564
   
1
  
Mental Health HPSA Totals
 
4,701
    
106,333,967
   
3,474
  
Rural
 
2,492
 
53.01 %
  
24,558,078
   
957
  
Geographic Area
 
587
 
12.49 %
  
22,431,656
   
535
  
Population Group
 
49
 
1.04 %
  
1,162,300
   
31
  
Facility
 
1,856
 
39.48 %
  
964,122
   
391
  
Non-Rural
 
1,786
 
37.99 %
  
25,436,880
   
1,215
  
Geographic Area
 
108
 
2.30 %
  
14,188,142
   
241
  
Population Group
 
119
 
2.53 %
  
10,028,521
   
235
  
Facility
 
1,559
 
33.16 %
  
1,220,217
   
739
  
Partially Rural
 
409
 
8.70 %
  
56,193,239
   
1,298
  
Geographic Area
 
312
 
6.64 %
  
46,797,357
   
1,004
  
Population Group
 
97
 
2.06 %
  
9,395,882
   
294
  
Unknown
 
14
 
0.30 %
  
145,770
   
4
  
Geographic Area
 
6
 
0.13 %
  
142,386
   
3
  
Facility
 
8
 
0.17 %
  
3,384
   
1
  
HRSA Data Warehouse
2 of 7
August 22, 2017
Data as of:
07/01/2017

Designated
Health Professional Shortage Areas
Statistics
 
HRSA Data Warehouse
3 of 7
August 22, 2017
Data as of:
07/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 3. Primary Care Health Professional Shortage Areas, by State, as of June 30, 2017
              
Primary Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(3)
Designation
(6)
HPSA Total
6,708
  
1,380
1,521
3,807
67,510,391
54.47 %
 
10,201
 
Region I
249
  
22
49
178
1,224,833
41.82 %
 
248
 
Connecticut
39
  
0
23
16
403,248
12.50 %
 
121
 
Maine
67
  
13
8
46
90,530
46.62 %
 
16
 
Massachusetts
67
  
4
9
54
471,298
65.22 %
 
58
 
New Hampshire
30
  
2
6
22
96,351
55.62 %
 
15
 
Rhode Island
14
  
1
3
10
152,771
32.75 %
 
37
 
Vermont
32
  
2
0
30
10,635
56.34 %
 
1
 
Region II
256
  
22
89
145
5,298,743
23.09 %
 
1,354
 
New Jersey
34
  
0
0
34
28,823
54.90 %
 
13
 
New York
180
  
19
73
88
3,467,907
32.81 %
 
759
 
Puerto Rico
37
  
0
16
21
1,689,212
1.92 %
 
554
 
U.S. Virgin Islands
5
  
3
0
2
112,801
24.20 %
 
28
 
Region III
468
  
82
105
281
4,056,030
60.16 %
 
565
 
Delaware
13
  
2
4
7
213,608
87.27 %
 
9
 
District of Columbia
15
  
3
3
9
241,638
50.40 %
 
43
 
Maryland
52
  
9
18
25
981,412
54.89 %
 
169
 
Pennsylvania
160
  
17
28
115
655,957
63.60 %
 
90
 
Virginia
105
  
45
15
45
1,382,138
66.71 %
 
145
 
West Virginia
123
  
6
37
80
581,277
45.42 %
 
109
 
Region IV
1,209
  
250
422
537
17,186,719
55.67 %
 
2,570
 
Alabama
96
  
31
27
38
1,786,788
73.69 %
 
160
 
Florida
254
  
15
110
129
5,063,235
38.93 %
 
1,062
 
Georgia
220
  
55
81
84
2,434,719
53.74 %
 
381
 
Kentucky
150
  
46
26
78
926,865
65.87 %
 
103
 
Mississippi
116
  
53
25
38
1,706,492
55.82 %
 
257
 
North Carolina
150
  
18
60
72
1,539,430
50.32 %
 
246
 
South Carolina
92
  
16
28
48
1,441,459
68.76 %
 
152
 
Tennessee
131
  
16
65
50
2,287,731
72.94 %
 
209
 
Region V
1,098
  
210
203
685
10,258,028
63.95 %
 
1,198
 
Illinois
228
  
47
72
109
3,436,997
57.17 %
 
468
 
Indiana
126
  
37
35
54
2,018,200
71.79 %
 
179
 
Michigan
349
  
27
45
277
2,073,432
63.60 %
 
247
 
Minnesota
125
  
30
22
73
441,818
55.32 %
 
67
 
Ohio
145
  
41
12
92
1,362,319
68.28 %
 
149
 
Wisconsin
125
  
28
17
80
925,262
70.27 %
 
88
 
Region VI
950
  
269
180
501
10,173,190
62.92 %
 
1,248
 
Arkansas
90
  
22
42
26
478,489
60.84 %
 
65
 
Louisiana
127
  
40
21
66
1,991,361
75.36 %
 
163
 
New Mexico
104
  
29
10
65
1,015,590
34.02 %
 
216
 
Oklahoma
182
  
10
66
106
1,233,699
55.35 %
 
190
 
Texas
447
  
168
41
238
5,454,051
65.65 %
 
614
 
Region VII
623
  
91
191
341
3,116,225
41.99 %
 
563
 
Iowa
124
  
34
25
65
684,247
62.30 %
 
82
 
Kansas
164
  
19
74
71
668,127
60.75 %
 
80
 
Missouri
224
  
27
92
105
1,734,866
26.61 %
 
396
 
Nebraska
111
  
11
0
100
28,985
41.79 %
 
5
 
Region VIII
491
  
159
96
236
2,353,820
53.52 %
 
345
 
Colorado
119
  
23
36
60
967,928
48.14 %
 
169
 
Montana
112
  
23
28
61
261,129
52.06 %
 
38
 
North Dakota
77
  
44
5
28
184,890
37.31 %
 
30
 
South Dakota
87
  
36
11
40
194,924
44.29 %
 
31
 
Utah
57
  
14
14
29
599,369
66.76 %
 
66
 
Wyoming
39
  
19
2
18
145,580
69.76 %
 
11
 
Region IX
900
  
201
99
600
10,983,769
54.68 %
 
1,657
 
Arizona
166
  
56
11
99
2,966,043
49.26 %
 
482
 
California
614
  
116
77
421
6,868,957
59.81 %
 
932
 
Hawaii
24
  
5
1
18
117,906
50.92 %
 
17
 
Nevada
78
  
16
9
53
540,837
50.31 %
 
93
 
American Samoa
2
  
1
0
1
57,291
10.47 %
 
17
 
Federated States of Micronesia
8
  
3
1
4
106,632
0.00 %
 
36
 
Guam
2
  
1
0
1
186,337
29.79 %
 
44
 
Marshall Islands
2
  
1
0
1
50,638
0.00 %
 
17
 
Northern Mariana Islands
2
  
1
0
1
69,221
43.48 %
 
13
 
Republic of Palau
2
  
1
0
1
19,907
15.06 %
 
6
 
Region X
464
  
74
87
303
2,859,034
51.80 %
 
453
 
Alaska
86
  
17
0
69
130,005
38.79 %
 
25
 
Idaho
100
  
14
30
56
487,457
62.96 %
 
56
 
Oregon
118
  
14
26
78
927,801
56.92 %
 
135
 
Washington
160
  
29
31
100
1,313,771
45.11 %
 
237
 
HRSA Data Warehouse
4 of 7
August 22, 2017
Data as of:
07/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 4. Dental Health Health Professional Shortage Areas, by State, as of June 30, 2017
              
Dental Health
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(4)
Designation
(7)
HPSA Total
5,568
  
687
1,621
3,260
52,210,740
37.89 %
 
8,312
 
Region I
237
  
23
53
161
1,450,566
36.91 %
 
241
 
Connecticut
36
  
0
21
15
373,887
10.75 %
 
83
 
Maine
75
  
14
21
40
303,187
34.17 %
 
48
 
Massachusetts
61
  
7
4
50
536,399
52.30 %
 
70
 
New Hampshire
23
  
0
3
20
30,449
62.23 %
 
4
 
Rhode Island
14
  
0
4
10
178,655
34.89 %
 
34
 
Vermont
28
  
2
0
26
27,989
70.56 %
 
2
 
Region II
206
  
7
38
161
2,350,344
42.11 %
 
374
 
New Jersey
39
  
0
0
39
45,705
25.96 %
 
23
 
New York
139
  
3
38
98
2,178,679
44.38 %
 
324
 
Puerto Rico
23
  
1
0
22
13,159
16.13 %
 
4
 
U.S. Virgin Islands
5
  
3
0
2
112,801
17.16 %
 
23
 
Region III
433
  
42
152
239
4,644,869
38.60 %
 
727
 
Delaware
10
  
0
3
7
178,124
6.84 %
 
50
 
District of Columbia
11
  
0
2
9
75,252
12.75 %
 
17
 
Maryland
43
  
8
15
20
507,828
55.08 %
 
58
 
Pennsylvania
164
  
4
56
104
1,997,447
38.98 %
 
310
 
Virginia
88
  
21
36
31
1,174,925
43.96 %
 
159
 
West Virginia
117
  
9
40
68
711,293
29.95 %
 
133
 
Region IV
1,060
  
138
449
473
16,722,119
31.27 %
 
2,930
 
Alabama
64
  
0
43
21
1,668,274
27.04 %
 
303
 
Florida
222
  
0
105
117
4,961,186
15.81 %
 
1,087
 
Georgia
190
  
42
79
69
1,870,112
27.37 %
 
357
 
Kentucky
103
  
13
18
72
493,039
60.52 %
 
43
 
Mississippi
110
  
56
23
31
1,775,071
53.92 %
 
209
 
North Carolina
143
  
3
71
69
2,122,552
38.63 %
 
334
 
South Carolina
84
  
20
18
46
1,561,458
52.05 %
 
186
 
Tennessee
144
  
4
92
48
2,270,427
27.65 %
 
411
 
Region V
892
  
28
319
545
6,990,649
37.37 %
 
1,121
 
Illinois
165
  
6
76
83
2,242,549
28.98 %
 
407
 
Indiana
60
  
7
16
37
641,027
48.20 %
 
87
 
Michigan
277
  
1
60
216
903,749
40.04 %
 
134
 
Minnesota
129
  
9
64
56
725,245
42.51 %
 
105
 
Ohio
137
  
5
59
73
1,622,436
38.24 %
 
254
 
Wisconsin
124
  
0
44
80
855,643
41.89 %
 
134
 
Region VI
761
  
184
150
427
8,424,751
53.77 %
 
993
 
Arkansas
82
  
10
50
22
651,536
46.88 %
 
88
 
Louisiana
112
  
36
18
58
1,856,449
59.28 %
 
189
 
New Mexico
82
  
21
16
45
852,391
33.36 %
 
138
 
Oklahoma
163
  
7
59
97
893,099
38.73 %
 
151
 
Texas
322
  
110
7
205
4,171,276
59.99 %
 
427
 
Region VII
528
  
67
202
259
2,841,632
31.39 %
 
467
 
Iowa
119
  
11
53
55
459,190
53.36 %
 
54
 
Kansas
133
  
25
62
46
608,847
41.61 %
 
79
 
Missouri
195
  
30
85
80
1,767,400
21.70 %
 
334
 
Nebraska
81
  
1
2
78
6,195
84.62 %
 
0
 
Region VIII
365
  
76
91
198
1,747,249
45.83 %
 
227
 
Colorado
98
  
19
30
49
672,849
40.46 %
 
100
 
Montana
85
  
11
18
56
189,971
34.12 %
 
27
 
North Dakota
37
  
16
2
19
74,583
29.21 %
 
10
 
South Dakota
64
  
21
12
31
146,346
26.39 %
 
25
 
Utah
52
  
4
23
25
593,221
59.86 %
 
59
 
Wyoming
29
  
5
6
18
70,279
62.51 %
 
6
 
Region IX
708
  
90
72
546
4,422,492
32.24 %
 
818
 
Arizona
178
  
58
22
98
2,457,759
31.17 %
 
447
 
California
428
  
14
40
374
1,184,029
35.91 %
 
230
 
Hawaii
19
  
1
1
17
35,776
33.88 %
 
7
 
Nevada
66
  
9
9
48
463,692
42.44 %
 
67
 
American Samoa
2
  
1
0
1
57,291
8.38 %
 
13
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
27
 
Guam
1
  
0
0
1
 
---
   
Marshall Islands
2
  
1
0
1
27,797
0.00 %
 
7
 
Northern Mariana Islands
2
  
1
0
1
69,221
15.61 %
 
15
 
Republic of Palau
2
  
1
0
1
19,907
0.00 %
 
5
 
Region X
378
  
32
95
251
2,616,069
37.22 %
 
414
 
Alaska
65
  
14
0
51
136,669
47.36 %
 
16
 
Idaho
97
  
6
38
53
459,568
50.32 %
 
57
 
Oregon
102
  
3
33
66
1,015,311
37.40 %
 
161
 
Washington
114
  
9
24
81
1,004,521
29.92 %
 
180
 
HRSA Data Warehouse
5 of 7
August 22, 2017
Data as of:
07/01/2017

Designated
Health Professional Shortage Areas
Statistics
Table 5. Mental Health Care Health Professional Shortage Areas, by State, as of June 30, 2017
              
Mental Health Care
      
Population of
  
Practitioners
Needed to
 
 
Total
  
Geographic
Population
 
Designated
Percent of
 
Remove
 
 
Designations
(1)
 
Area
Group
Facility
HPSAs
Need Met
(5)
Designation
(8)
HPSA Total
4,701
  
1,013
265
3,423
106,333,967
43.39 %
 
3,474
 
Region I
196
  
25
9
162
4,096,936
43.24 %
 
140
 
Connecticut
32
  
7
4
21
2,788,335
32.78 %
 
101
 
Maine
51
  
12
0
39
275,882
36.78 %
 
7
 
Massachusetts
56
  
1
4
51
497,676
51.89 %
 
20
 
New Hampshire
20
  
3
0
17
92,770
94.92 %
 
0
 
Rhode Island
13
  
2
1
10
442,273
61.17 %
 
12
 
Vermont
24
  
0
0
24
 
---
   
Region II
237
  
20
49
168
4,701,918
44.92 %
 
148
 
New Jersey
37
  
0
0
37
32,755
71.51 %
 
4
 
New York
159
  
16
43
100
3,793,949
42.10 %
 
132
 
Puerto Rico
36
  
1
6
29
762,413
63.00 %
 
6
 
U.S. Virgin Islands
5
  
3
0
2
112,801
16.49 %
 
6
 
Region III
374
  
61
30
283
6,498,694
57.43 %
 
186
 
Delaware
12
  
0
1
11
84,620
7.90 %
 
15
 
District of Columbia
10
  
1
0
9
129,762
49.31 %
 
3
 
Maryland
52
  
11
9
32
1,431,003
63.34 %
 
30
 
Pennsylvania
122
  
25
1
96
1,832,032
60.84 %
 
44
 
Virginia
76
  
16
5
55
1,923,315
57.40 %
 
59
 
West Virginia
102
  
8
14
80
1,097,962
56.30 %
 
35
 
Region IV
693
  
132
82
479
24,608,343
43.60 %
 
837
 
Alabama
53
  
14
7
32
2,787,269
46.23 %
 
82
 
Florida
160
  
16
32
112
4,905,689
33.30 %
 
144
 
Georgia
107
  
22
7
78
5,782,080
48.77 %
 
157
 
Kentucky
100
  
29
2
69
1,980,395
56.66 %
 
48
 
Mississippi
47
  
13
0
34
2,357,190
73.18 %
 
65
 
North Carolina
108
  
19
10
79
1,642,936
33.48 %
 
46
 
South Carolina
50
  
9
9
32
1,774,049
58.41 %
 
40
 
Tennessee
68
  
10
15
43
3,378,735
12.32 %
 
255
 
Region V
760
  
178
19
563
18,071,697
44.11 %
 
637
 
Illinois
125
  
32
5
88
4,991,735
68.36 %
 
71
 
Indiana
69
  
23
4
42
3,230,590
42.72 %
 
135
 
Minnesota
65
  
9
0
56
2,018,923
35.20 %
 
60
 
Michigan
256
  
45
3
208
3,427,374
42.75 %
 
101
 
Ohio
111
  
19
7
85
2,153,696
53.65 %
 
55
 
Wisconsin
134
  
50
0
84
2,249,379
25.22 %
 
215
 
Region VI
772
  
289
29
454
15,059,003
40.12 %
 
521
 
Arkansas
44
  
5
8
31
1,094,398
61.55 %
 
17
 
Louisiana
118
  
52
7
59
2,866,661
40.61 %
 
84
 
New Mexico
72
  
16
2
54
1,211,555
23.09 %
 
45
 
Oklahoma
116
  
4
9
103
1,536,823
23.87 %
 
85
 
Texas
422
  
212
3
207
8,349,566
43.61 %
 
290
 
Region VII
331
  
50
11
270
6,965,463
44.76 %
 
176
 
Iowa
70
  
15
0
55
1,649,839
59.12 %
 
26
 
Kansas
69
  
20
2
47
1,445,545
41.63 %
 
38
 
Missouri
108
  
10
9
89
2,853,622
34.15 %
 
103
 
Nebraska
84
  
5
0
79
1,016,457
72.61 %
 
9
 
Region VIII
332
  
95
7
230
5,739,146
47.22 %
 
157
 
Colorado
89
  
11
2
76
1,952,930
52.50 %
 
47
 
Montana
81
  
23
4
54
530,403
33.35 %
 
21
 
North Dakota
52
  
28
0
24
304,859
42.05 %
 
14
 
South Dakota
49
  
15
0
34
459,320
15.25 %
 
22
 
Utah
39
  
13
1
25
1,968,781
51.15 %
 
46
 
Wyoming
22
  
5
0
17
522,853
71.69 %
 
7
 
Region IX
659
  
88
20
551
14,686,312
34.55 %
 
521
 
Arizona
103
  
6
0
97
6,362,085
20.94 %
 
240
 
California
456
  
60
19
377
6,176,276
39.16 %
 
208
 
Hawaii
27
  
8
1
18
295,813
54.17 %
 
7
 
Nevada
56
  
6
0
50
1,439,340
54.00 %
 
53
 
American Samoa
2
  
1
0
1
57,292
0.00 %
 
3
 
Federated States of Micronesia
8
  
4
0
4
107,020
0.00 %
 
6
 
Guam
2
  
1
0
1
159,358
58.97 %
 
3
 
Marshall Islands
1
  
0
0
1
 
---
   
Northern Mariana Islands
2
  
1
0
1
69,221
86.96 %
 
0
 
Republic of Palau
2
  
1
0
1
19,907
0.00 %
 
1
 
Region X
347
  
75
9
263
5,906,455
45.25 %
 
151
 
Alaska
70
  
18
0
52
310,222
14.72 %
 
10
 
Idaho
63
  
7
1
55
1,676,558
50.92 %
 
29
 
Oregon
90
  
17
4
69
1,661,514
51.24 %
 
45
 
Washington
124
  
33
4
87
2,258,161
41.64 %
 
67
 
HRSA Data Warehouse
6 of 7
August 22, 2017
Data as of:
07/01/2017

Designated
Health Professional Shortage Areas
Statistics
 
Endnotes
 
(1)
The number of designations includes HPSAs that are proposed for withdrawal (P) and HPSAs that have no data (N). Designations are not withdrawn until a Federal Register Notice is published, generally once a year on or around July 1.
 
(2)
The figure reported for the Population of Designated Facility HPSAs for both Primary Care and Dental reflects the number of internees in designated correctional facilities. The figure reported for the Population of Designated Facility HPSAs for Mental Health reflects the number of internees in designated correctional facilities, as well as the average daily inpatient census for state and county mental hospitals designated after September 1, 2015. For reports generated prior to September 1, 2015, the Population of Designated Facility HPSAs for all disciplines included populations served by other public or non-profit facilities. These are facilities that qualify for HPSA designation by demonstrating that even though they are not located in a geographic or population HPSA, they serve the populations of geographic and population HPSAs. As a result, these populations were potentially double counted.
 
(3)
The figure reported for Percent of Need Met for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet National Health Service Corps (NHSC) site requirements.
 
(4)
The percent of need met is computed by dividing the number of primary care physicians available to serve the population of the area, group, or facility by the number of primary care physicians that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a primary care HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For primary care geographic designations, the population to provider ratio must be at least 3,500 to 1. For primary care population designations or geographic designations in areas with unusually high needs, the threshold is 3,000 to 1. For correctional facilities, the threshold is 1,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(5)
The percent of need met is computed by dividing the number of dentists available to serve the population of the area, group, or facility by the number of dentists that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a dental HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. For dental geographic designations, the ratio must be at least 5,000 to 1. For dental population designations or geographic designations in areas with unusually high needs, the threshold is 4,000 to 1. For correctional facilities, the threshold is 1,500:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed.
 
(6)
The percent of need met is computed by dividing the number of mental health providers available to serve the population of the area, group, or facility by the number of mental health providers that would be necessary to reduce the population to provider ratio below the threshold for designation so that it would eliminate the designation as a mental health HPSA. Federal regulations stipulate that, in order to be considered as having a shortage of providers, a designation must have a population-to-provider ratio that meets or exceeds a certain threshold. Mental health designations may qualify for designation based on the population to psychiatrist ratio, the population to core mental health provider (psychiatrists, clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists) ratio, or the population to both psychiatrist and core mental health provider ratios. For mental health geographic designations based on the ratio of population to psychiatrist ratio, the designation must have a ratio of 30,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 20,000 to 1. For mental health geographic designations based on the ratio of population to core mental health providers, the designation must have a ratio of 9,000 to 1, while for population designations or geographic designations in areas with unusually high needs, the threshold is 6,000 to 1. For mental health geographic designations based on the ratios of both population to psychiatrist and population to core mental health providers, the designation must have ratios of 20,000 to 1 (psychiatrists) and 6,000 to 1 (core mental health providers), while for population designations or geographic designations in areas with unusually high needs, the thresholds are 15,000 to 1 (psychiatrists) and 4,500 to 1 (core mental health providers). For correctional facilities, the threshold is 2,000:1 and takes into account the average length of stay, and whether or not intake examinations are routinely performed. For state mental hospitals, the calculation is based on workload units, which are a function of the average daily inpatient census and the number and type of admissions. For correctional facilities and state mental hospitals, psychiatrists are the only provider type counted.
 
(7)
The number of additional primary care physicians needed to achieve a population-to-primary care physician ratio below the thresholds necessary for designation in all designated primary care HPSAs that would result in their removal from designation. The formula used to designate primary care HPSAs does not take into account the availability of additional primary care services provided by nurse practitioners and physician assistants in an area. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(8)
The number of additional dentists needed to achieve a population-to-dentist ratio below the thresholds necessary for designation in all designated dental HPSAs that would result in their removal from designation. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(9)
The number of additional mental health providers needed to achieve a population-to-provider ratio below the thresholds necessary for designation in all designated mental health HPSAs that would result in their removal from designation. While the regulations allow mental health HPSA designations to be based on the psychiatrist to population ratio, the core mental health provider to population ratio, or both in conjunction, most mental health HPSA designations are currently based on the psychiatrists only to population ratio. If a HPSA designation is based on the ratio of population to psychiatrists only, it does not take into account the availability of additional mental health services provided by other mental health providers in the area, such as clinical psychologists, clinical social workers, psychiatric nurse specialists, and marriage and family therapists. The figure reported for Practitioners Needed To Remove Designations for facility HPSAs includes correctional facilities and state mental hospitals. It excludes facilities not located in a HPSA that are designated based on providing services to the population of a geographic or population HPSA. It also excludes facilities automatically designated based on statute, including health center program grantees, Federally Qualified Health Center Look Alikes, Indian Health Service facilities, and rural health clinics that meet NHSC site requirements.
 
(10)
Percentages of all designations classified as rural/non-rural are calculated by dividing the number of designations for the specified subcategory by the total number of designations for each discipline type and multiplying the result by 100. Due to decimal rounding, percentage totals may not equal exactly 100%.
 
(11)
Partially rural designations are those made up of geographic components that have a mixture of rural, non-rural, and unknown statuses.
 
(12)
Designations of unknown rural status may include 1) facility HPSAs whose precise location could not be located on a map (i.e. geocoded) or 2) geographic or population group HPSAs that are made up of some or all areas for which rural status is undefined. Rural status may be undefined where rural information or underlying geographic reference data for administrative boundaries is unavailable for the specified geographic area.
   
HRSA Data Warehouse
7 of 7
August 22, 2017
Data as of:
07/01/2017